Individual provider · Type 1 NPI

Aaron Deatherage

Student in an Organized Health Care Education/Training Program · Corona, CA

NPI number 1003563875 Active

Practice location

800 S Main St
Corona, CA 92882-3420

Call (951) 737-4343 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed
Emergency Medicine Physician 207P00000X20A23276 (CA)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

95 other providers at this address

Other student in an organized health care education/training program providers in Corona

See all in Corona →

About NPI 1003563875

Aaron Deatherage's National Provider Identifier is 1003563875, issued on Mar 2, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Corona, CA. The record was last updated on Mar 11, 2026.